Medicare might be overpaying surgeons because of built-in reimbursements for postoperative care, according to an analysis by RAND Corp., a nonprofit research organization.
ASC Coding, Billing & Collections
The Department of Justice collected over $3 billion from civil cases involving alleged False Claims Act violations in 2019, according to a Jan. 9 announcement.
An annual coding contest revealed that the accuracy of outpatient coding worsened in 2019, ICD-10 Monitor reports.
Springfield, Pa.-based Crozer-Keystone Health System reached an agreement to join Cigna's network, providing Cigna Medicare Advantage customers access to all Crozer-Keystone facilities.
WhidbeyHealth in Coupeville, Wash. is recruiting surgeons to increase its volume of outpatient surgeries as it attempts to cut losses and increase revenue, according to local newspaper the South Whidbey Record.
Advertisement
Texas recently passed legislation that generally prohibits the practice of balance billing in cases where patients can't choose their medical provider, according to law firm Gray Reed.
New and interesting and complex procedures such as cardiology, orthopedic and spine are being performed in ambulatory surgery centers (ASCs) which makes this a particularly interesting time for the space.
A new policy that steers patients getting colonoscopies away from hospital outpatient departments and into ASCs is stirring up controversy in Minnesota, according to the Minneapolis Star-Tribune.
Private equity firm Osceola Capital acquired Healthcents, a company focused on helping small and medium healthcare providers optimize their payer contracting and growth strategies.
The most popular stories related to ASC finances in 2019 were ones detailing CMS updates, physician compensation, fraud schemes and insurer programs.